| Icd Mental Health Clinic Ps 146 | |
|
421 E 106th St New York NY 10029-4846 | |
| (212) 996-6127 | |
| (212) 828-8453 |
| Full Name | Icd Mental Health Clinic Ps 146 |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 421 E 106th St, New York, New York |
| Authorized Official Name and Position | Les Halpert (CEO) |
| Authorized Official Contact | 2125856009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icd Mental Health Clinic Ps 146 340 E 24th St New York NY 10010-4019 Ph: (212) 585-6000 | Icd Mental Health Clinic Ps 146 421 E 106th St New York NY 10029-4846 Ph: (212) 996-6127 |
| NPI Number | 1013112358 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013112358 | NPI | - | NPPES |
| 00244413 | Medicaid | NY | |
| 040816000080 | Other | NY | FIDELIS CARE NEW YORK |
| A31902 | Other | NY | PERFORMAX-MULTIPLAN |
| 58P0081 | Other | NY | NYPRESBY HEALTH PLAN |
| 1054350 | Other | NY | BEACON HEALTH STRATEGIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 6704100B (New York) | Primary |
Bimc Fpp Dept Of Psych Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
Joan Poelvoorde Lcsw Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 34th St, Penthouse, New York, NY 10001 Phone: 646-473-0138 Fax: 646-473-0138 | |
Laurie D Gilkes Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 330 E 79th St, Suite 1g, New York, NY 10075 Phone: 212-737-0560 Fax: 212-737-0560 | |
National Federation For Autism Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Fort Washington Ave, First Floor, New York, NY 10033 Phone: 917-783-2431 | |
Mary E Genkins Dsw Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 430 E 63rd St, Apt 12l, New York, NY 10065 Phone: 212-838-9257 Fax: 212-207-6615 | |
Rethink Autism Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 W 21st Street, Suite 403, New York, NY 10010 Phone: 917-658-6313 | |
The Heart Collaboration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 5th Ave, Suite 900, New York, NY 10011 Phone: 212-947-7111 |